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Online Therapy in Spokane · Anywhere in Washington

Online therapy in Spokane, Washington.

We see Spokane residents anywhere in Washington by secure video, the same therapist each session. Most major insurance plans accepted, with a first appointment the same week. We do not have a Spokane office, so you can reach specialized care without driving across the state for it.

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The Pavilion at Riverfront Park in Spokane, Washington

Serving Spokane, Washington by secure video. Pictured, the Pavilion at Riverfront Park.

In short

Yes, you can see a therapist in Spokane online. Counseling Services for Wellbeing connects Spokane residents with a licensed Washington therapist by secure video, the same person each session. We do not have a Spokane office, so we see you anywhere in the state by video. We accept most major insurance plans and book first appointments the same week.

Does this sound familiar?

You want to talk to someone, and finding the right person should not mean a drive across the state.

Let us be clear up front. Counseling Services for Wellbeing does not have an office in Spokane. We are a Washington practice, and we see Spokane residents by secure video, the same licensed clinicians who would see you in a room, wherever you are in the state. There is no waiting room and no drive. There is a Washington-licensed therapist on a screen, ready to meet you where you already are.

For Spokane that solves a real problem. A lot of specialized mental health care in Washington is concentrated on the west side, around Seattle, about 280 miles and a mountain pass away. Video closes that distance, so an Inland Northwest resident can work with the right specialist without ever making the drive.

Online therapy here means a real therapist, the same one each session. Someone who knows your story, and care your insurance can actually reach.

Why Spokane

Why does online therapy fit Spokane in particular?

Three things about the Inland Northwest make video the realistic way to start. They are specific to here, not a generic case for telehealth.

A big metro on its own side of the state

Spokane anchors the Inland Northwest and is the second-largest metro in Washington, with roughly 605,000 people in the metro area as of 2024. It sits about 280 miles east of Seattle over Snoqualmie Pass, so the deep bench of specialty care on the west side is a four-hour-plus drive away rather than across town.

A federally recognized provider shortage

Spokane County carries a federal Mental Health Professional Shortage Area designation, the government's marker for places where the supply of mental health providers does not meet the local need. So the wait for the right local opening is a documented reality, not a story you are imagining. Seeing a Washington-licensed clinician by video widens the pool past whoever has a Spokane opening this month.

A workforce built around healthcare and the base

Healthcare is the region's anchor, with Providence the largest employer in the area at more than 8,000 people, alongside MultiCare and the school districts. Fairchild Air Force Base adds a large military and veteran community west of the city. Many of these people work fixed shifts that a midday clinic commute does not fit, which is exactly where video care helps.

This is not only a Spokane story. Spokane Valley, Liberty Lake, Cheney and the smaller towns across the Inland Northwest sit the same distance from west-side specialty care, and we work with clients across the region by secure video.

What we offer

Online therapy for adults across Spokane, Spokane Valley, Liberty Lake and the Inland Northwest.

It is built for the person who cannot find the right fit locally, or whose shift work, not their motivation, is the thing standing in the way of starting.

A healthcare or shift-work schedule

Your hours at a hospital, clinic or plant rule out a midday commute to an office, so video care fits inside the workday from a private space.

You cannot find the right specialist in town

You have been told the local opening is months out, or the specific focus you need is not available nearby, and you want a wider pool of clinicians.

Carrying work stress, burnout, anxiety or low mood

You are tired of putting it off because there is no time, and you want to stop white-knuckling it through another season.

A veteran or military family near Fairchild

You want a licensed clinician who fits your life and a steady person who stays with you, without a long drive to find one.

New to therapy and wanting a low-friction start

A first session from your own space, with the commute deleted, is an easier way to take the first step.

You want consistency, not a rotating platform

You do not want a different counselor every few weeks, so you are looking for one therapist who stays with you over video.

You do not have to settle for whoever is open, or drive across the state to find the right fit. And if you would rather be in the room, the same care is available in person at our Seattle offices.

Our approach

How does online therapy work at Counseling Services for Wellbeing?

Online therapy here works the same way our in-person care does, matched at intake to one Washington-licensed therapist who stays with you, delivered over secure video built for healthcare. The format changes, the quality of the relationship does not.

1

Reach out

A short form or a call. We learn what you are working on and whether video fits, which for most Spokane residents it does. A real person from our team reviews each one before reaching out, so the first step is never a portal you talk to alone.

2

Matched at intake

We pair you with a Washington-licensed therapist whose approach fits what you are working on, the same way we would in person. The match is the priority, not the next open slot, and that one therapist learns your story and stays with you.

3

Start this week, from home or a closed office door

First appointments are available the same week, over secure video built for healthcare. You join from a private space on a phone, tablet or computer, and we walk you through exactly how it works before your first session.

Why Spokane residents choose us

A real Washington practice that serves Spokane by video, with the same therapist each session.

Counseling Services for Wellbeing is a Washington mental health practice. Our clinicians are licensed in Washington, which is what lets us see Spokane and Inland Northwest residents by secure video. The whole team works under our clinical director, an AAMFT-approved supervisor. We hold a 4.8-star rating across 338 reviews. We accept most major insurance plans, including Premera, Regence, Kaiser and Aetna, and we book first appointments the same week. Research finds that for many people online therapy works as well as in-person care, a view the American Psychological Association echoes when it notes telepsychology can be as effective as in-person treatment for a range of concerns.

One therapist who knows your story. Matched at intake so the fit is right. Secure video that meets the privacy bar. A whole-person lens carried straight into video care. The practice was built on the idea that mental health care should account for the whole person, not just the presenting problem, so we pay attention to sleep, energy, stress and the patterns around you, whether you meet us with CBT, EMDR or DBT on a screen.

What our team sees with Spokane-area clients. A lot of the people who reach us from the Inland Northwest come to us because the local search ran dry, the specialist they needed had no opening, or the wait was simply too long. Burnout, anxiety, trauma and the strain that builds in healthcare and shift work come up often. For many of them the relief is as much about finally reaching the right fit by video as it is about the hour itself, because the distance that used to rule it out is gone.

Clinical content reviewed by Issy Kleiman, LMFT, AAMFT-approved supervisor and clinical director at Counseling Services for Wellbeing.

How we compare

Counseling Services for Wellbeing vs. other ways for Spokane residents to get therapy.

In-person Spokane practices Online-only national platforms Counseling Services for Wellbeing
An office to sit in, in Spokane
A room in town to walk into
Video only, no offices
No Spokane office, video statewide
Reach to a specialist past the local pool
Limited to who is local
A wide national pool
Washington specialists statewide
The same therapist each session
Usually the same therapist
Often a rotating pool
One therapist who stays with you
First appointment in days, not weeks
Often a months-long waitlist
Quick app-driven sign-up
Same-week first appointments
Coordinated therapy and psychiatry
Often refers psychiatry out
Therapy and meds run separately
Therapy and psychiatry in one practice
Most major insurance plans accepted
Varies, often a few plans
Often cash-pay only
Most major insurance plans accepted

  • An office to sit in, in Spokane

    • In-person Spokane practicesA room in town to walk into
    • Online-only national platformsVideo only, no offices
    • Counseling Services for WellbeingNo Spokane office, video statewide

  • Reach to a specialist past the local pool

    • In-person Spokane practicesLimited to who is local
    • Online-only national platformsA wide national pool
    • Counseling Services for WellbeingWashington specialists statewide

  • The same therapist each session

    • In-person Spokane practicesUsually the same therapist
    • Online-only national platformsOften a rotating pool
    • Counseling Services for WellbeingOne therapist who stays with you

  • First appointment in days, not weeks

    • In-person Spokane practicesOften a months-long waitlist
    • Online-only national platformsQuick app-driven sign-up
    • Counseling Services for WellbeingSame-week first appointments

  • Coordinated therapy and psychiatry

    • In-person Spokane practicesOften refers psychiatry out
    • Online-only national platformsTherapy and meds run separately
    • Counseling Services for WellbeingTherapy and psychiatry in one practice

  • Most major insurance plans accepted

    • In-person Spokane practicesVaries, often a few plans
    • Online-only national platformsOften cash-pay only
    • Counseling Services for WellbeingMost major insurance plans accepted

We do not have a room in Spokane to sit in, and we are not the cheapest app with a 24/7 message thread. We are the option that gives Spokane residents the same therapist each session, reaches a statewide bench of specialists past whoever is local, takes most major insurance plans including the Premera and Regence plans common across the Inland Northwest, gets you in this week by secure video, and can coordinate therapy with psychiatry inside one Washington practice.

Insurance & coverage

Most major insurance plans accepted

Kaiser Permanente Premera Blue Cross Regence Blue Cross Blue Shield Aetna Cigna UnitedHealthcare Optum Humana Wellpoint Carelon LifeWise First Choice Health Network Coastal Administrative Services Medicare Tricare Triwest

Across the Inland Northwest the common commercial carriers are Premera Blue Cross, Regence, Kaiser and Aetna, and we work with all of them. We confirm your specific plan before your first session, so online care here does not have to be cash-pay only the way many national telehealth platforms are.

Coverage across the Inland Northwest

If you carry the commercial coverage common in Spokane, you are most likely already covered.

Most Spokane-area residents are on one of a handful of commercial carriers, the same ones we work with. So online therapy with us usually runs on the plan you already have.

The commercial behavioral health market in the Inland Northwest is dominated by a few carriers, Premera Blue Cross, Regence, Kaiser and Aetna among them. We work with all of these, so online therapy with us is usually reachable on the plan a Spokane resident already carries, rather than the cash-pay arrangement many national telehealth apps are. For the large military and veteran community around Fairchild Air Force Base, we also work with Tricare.

Telehealth therapy is generally a covered behavioral health benefit on these plans, billed the same way an in-person session would be. What it actually costs you depends on your specific plan, your deductible and where you are in the year, so we do not want to quote a copay we cannot stand behind. We confirm your exact plan and what to expect before your first session, so you start with a number rather than a guess.

One practical note for the east side. Because we are licensed across Washington and see you by secure video, your coverage is not tied to whether the right specialist happens to take your plan in Spokane. We check it for you before you start.

The team

Washington clinicians who see Spokane-area clients by secure video.

A team that works by secure video across anxiety, depression, trauma, burnout and couples, deeper than the few here. We match you with one therapist whose focus fits what you are working on, and they stay with you.

Amy Mendez MA, LMHC

Amy Mendez MA

LMHC
CBTAnxietyDepressionTraumaTelehealth
Read bio Book with Amy

Angie Blattenbauer, LMHC

Angie Blattenbauer

LMHC
EMDRTraumaOCDGriefTelehealth
Read bio Book with Angie

Adina Brown, LMFTA

Adina Brown

LMFTA
GottmanCouplesACTAnxietyTelehealth
Read bio Book with Adina

Janine Griggs, MSW, LICSW

Janine Griggs

MSW, LICSW
CBTDBTBurnoutLife transitionsTelehealth
Read bio Book with Janine

Kathy Thompson, MS, LMHC

Kathy Thompson

MS, LMHC
MindfulnessDepressionGriefRelationshipsTelehealth
Read bio Book with Kathy

+ Meet the full team

Washington clinicians across all three offices and by secure video.

Meet the team

A deeper bench of Washington clinicians than the few here. Tell us what is going on and we will match you with the right person, by secure video.

Where to meet

Secure video anywhere in Washington, including Spokane, or three offices if you would rather be in the room.

Counseling Services for Wellbeing serves Spokane and all of Washington by secure video, so where you live is not a barrier to good care. We also have three offices across the Seattle metro, about 280 miles west across the state, and you can move between video and in-person sessions as your life changes.

Secure video, Spokane and statewide

Spokane, Spokane Valley, Liberty Lake, Cheney and anywhere in Washington. The same therapist each session.

Online therapy in Washington →

Green Lake, Seattle

North Seattle, Wallingford, Ravenna, Roosevelt

View office →

Burien

White Center, SeaTac, Normandy Park, South King

View office →

Smokey Point, Arlington

Arlington, Marysville, north Snohomish

View office →
Frequently asked questions

What Spokane residents ask before starting online therapy.

Do you have an office in Spokane?

No. Counseling Services for Wellbeing does not have a Spokane office. We are a Washington practice and we see Spokane and Inland Northwest residents by secure video anywhere in the state, with the same licensed clinicians. Our three physical offices are in the Seattle metro, about 280 miles west across the state, so for Spokane residents video is the realistic way to work with us.

How much does a therapist cost in Washington state if I use insurance?

With insurance you usually pay a copay or a share of the session rather than the full cash rate, and the amount depends on your specific plan and where you are in your deductible for the year. We accept most major insurance plans, including the Premera, Regence, Kaiser and Aetna plans common across the Inland Northwest. We confirm your exact plan and what to expect before your first session, so online therapy here does not have to be the cash-pay arrangement many national platforms are.

Are your therapists licensed in Washington?

Yes. Every clinician who sees Spokane clients is licensed or working toward licensure in Washington under senior supervision. Washington licensure is what lets us see Spokane and Inland Northwest residents by secure video even though we have no office on the east side, so geography is not the limit, your schedule and goals are.

Can I see a specialist online if I cannot find one in Spokane?

Often, yes. A lot of specialized care, like EMDR for trauma, OCD work or couples therapy, is concentrated on the west side of the state. Because our clinicians are licensed across Washington and see Spokane clients by secure video, you are not limited to whoever has a local opening this month. You can work with a therapist whose focus actually fits what you are working on, without the drive over the pass.

Is it better to see a therapist or a psychologist?

For most people the difference that matters is fit and approach, not the exact credential. Our licensed therapists handle talk therapy for anxiety, depression, trauma, burnout and relationship concerns, the things most Spokane residents come in for. If formal psychological testing turns out to be what you need, we will tell you and point you in the right direction rather than stretch beyond what we do.

Do I need to live in Spokane exactly to be seen?

No. We serve all of Washington by secure video, including Spokane Valley, Liberty Lake, Cheney and the smaller Inland Northwest towns around them, so where in the region you live is not a barrier. Because our clinicians are licensed in Washington, geography is not the limit, your schedule and your goals are what shape the care.

How soon can I be seen?

First appointments are available the same week, not weeks out. Much of the Spokane market books well ahead or is cash-pay only, so you do not have to white-knuckle a long wait to start. We are accepting new clients now by secure video and will find the first opening that fits your schedule.

Will I see the same therapist each session online?

Yes. You are matched with one therapist who learns your story and stays with you session to session, rather than a rotating pool that hands you to whoever is free. That continuity is the heart of how we work and the main thing that sets us apart from the big national telehealth platforms, where the face often changes.

Can I get both therapy and a psychiatrist in one place?

Yes. Counseling Services for Wellbeing offers therapy and psychiatric medication management inside one Washington practice, so if it turns out you want both, they can be coordinated rather than run by two offices that never talk. Many Spokane practices and national platforms refer the medication side out. If you are not sure which you need, that is a normal place to start, and we help you sort it at intake. You can read more about online psychiatry in Washington if that is part of what you are weighing.

If you need help now

Spokane and Inland Northwest mental health resources.

Online therapy is for ongoing support, not an emergency. If you or someone you care about is in crisis, these reach a real person right now, and they are free.

988 Suicide and Crisis Lifeline

Call or text 988 any time, day or night. It is free, confidential and answered around the clock for anyone in the country who is struggling or worried about someone else.

Regional Crisis Line, Frontier Behavioral Health

The 24-hour regional behavioral health crisis line for Spokane and the surrounding counties is 877-266-1818, run by Frontier Behavioral Health. Trained clinicians assess, refer and can dispatch mobile crisis help across the region.

Nearest emergency room

For a medical or psychiatric emergency, Providence Sacred Heart Medical Center in Spokane, at 101 W 8th Avenue, has a 24-hour emergency department. In an immediate emergency, call 911.

For ongoing care, here is the honest part. We do not have an office in Spokane. Our nearest physical offices are in the Seattle area, about 280 miles west across the state, so most Spokane clients are seen by secure video rather than making that drive. If you would rather be in the room and are ever on the west side, those offices are open to you, and otherwise the same Washington-licensed team meets you on a screen.

Also see

Related care from our team.

Tri-CitiesOnline therapy in the Tri-CitiesLearn more → YakimaOnline therapy in YakimaLearn more → Telehealth hub Online therapy in Washington Learn more → Anxiety Anxiety therapy by video Learn more → Trauma Trauma therapy by video Learn more → Telehealth Online psychiatry in Washington Learn more →
Take the next step

Good care should not depend on whether the right specialist happens to be in Spokane.

Request an appointment today and we will match you with a Washington-licensed therapist who fits what you are working on, by secure video, often within the same week. Counseling Services for Wellbeing accepts most major insurance plans, sees Spokane residents anywhere in Washington by secure video, and keeps you with the same therapist whether you meet from home or in person at our Green Lake, Burien and Smokey Point offices. If you want the statewide picture first, start at our online therapy in Washington hub.

Call (206) 242-8211 Request an appointment